Wade, Robert Alan

Wade, Robert Alan is an individual health care provider with primary practice located at 1412 Elba Hwy , Troy AL 36079-6020. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Wade, Robert Alan can be contacted via phone (334) 566-8822.

Contact Information

Primary practice address
1412 Elba Hwy Troy AL 36079-6020
Fax: (334) 808-8942
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1070477 Alabama

Profile Details

NPI number 1154508380
LBN Legal business name Wade, Robert Alan
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Jun 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154508380 NPPES
Alabama Other 1-070477 ALABAMA BOARD OF NURSING

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